Patient's question:
The symptoms primarily manifest during the menstrual period. On the first day of the period, there is a dull pain in the lower abdomen and lower back pain, accompanied by mild diarrhea.Doctor's answer:
1. Drug treatmentAntibiotics are the primary treatment for acute pelvic inflammatory disease, including various administration routes such as intravenous infusion, intramuscular injection, or oral medication. Broad-spectrum antibiotics should be used in combination with anaerobic antibiotics, and the course of treatment must be sufficient. Additionally, traditional Chinese medicine treatment can be combined to achieve better efficacy.
2. Surgical treatment
Surgery is recommended for conditions such as tubal hydrops or tubo-ovarian cysts, as well as for small infection foci that repeatedly trigger inflammation. The principle of surgery is to ensure complete cure, avoiding the chance of recurrence by removing residual lesions, such as through adnexal resection or salpingectomy. For young women, efforts should be made to preserve ovarian function. Since single therapy is often ineffective for chronic pelvic inflammatory disease, a comprehensive treatment approach is preferred.